ComedyCity is a proud member of the National Comedy Theatre. Check out
some more improv locations!
ComedyCamps Registration Form
This form may be printed and copied as needed for additional campers. This form does not collect any personal
or financial information. Print the form, fill it out by hand, and mail the signed form with payment to:
ComedyCity
300 Charlotte
Kansas City, MO 64106
Name:
_____________________________________
Parent Name:
_____________________________________
Address:
_____________________________________
City:
_____________________________________
State:
_____________________________________
Zip Code:
_____________________________________
Phone:
_____________________________________
Email:
_____________________________________
Emergency Contact:
_____________________________________
Emergency Phone:
_____________________________________
Select T-Shirt Size:
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Which class will you attend?
July 7-11 (ages 7-13)
July
14-18 (ages 14-17)
July
21-25 (7-13) July
28-Aug 1 (14-17) Aug
4-8 (Veterans)
Select payment amount:
$50 Deposit (Nonrefundable; remainder due 1st day of class.)
$140 Full Payment
Select payment method:
Check/Money Order
Credit Card
Card Type:
_____________________________________
Card Number:
_____________________________________
Expiration Date:
_____________________________________
Name on Card:
_____________________________________
Signature:
_____________________________________
Waiver: The Parent or Guardian signing this waiver will be contacted in case
of an emergency. I, parent or guardian of the participant, hereby authorize
agent, officer, or employee of ComedyCity ComedyCamps to act for me according to
his/her best judgement, in any emergency requiring medical attention, and hereby
release agents, officers, employees, or the owner and operators of ComedyCity
ComedyCamps from any liability for any injuries, illnesses, or loss of property
incurred while attending the camp. Parents or guardians must inform ComedyCity
ComedyCamps staff of any special health needs. Adult participant's signature for
the agreement to the above. ComedyCity reserves the right to utilize images
and/or pictures of all camp participants for future ComedyCity publications and
promotions.
